| NPI | 1093110819 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL APRN11004256) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH COA.16897-NP) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH APRN.CNP.16897) | |
| Enumeration Date | 2014-10-23 |
| Last Update Date | 2020-02-17 |